| Canrina Nurturing Minds Behavioral Health Care Llc | |
|
7707 Swan Ter Hyattsville MD 20785-4680 | |
| (240) 305-8915 | |
| Not Available |
| Full Name | Canrina Nurturing Minds Behavioral Health Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7707 Swan Ter, Hyattsville, Maryland |
| Authorized Official Name and Position | Canicia Anyiatem (PROVIDER) |
| Authorized Official Contact | 2403058915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canrina Nurturing Minds Behavioral Health Care Llc 7707 Swan Ter Hyattsville MD 20785-4680 Ph: (240) 305-8915 | Canrina Nurturing Minds Behavioral Health Care Llc 7707 Swan Ter Hyattsville MD 20785-4680 Ph: (240) 305-8915 |
| NPI Number | 1134837735 |
|---|---|
| Provider Enumeration Date | 11/11/2022 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Medicare PECOS PAC ID | 2062878069 |
|---|---|
| Medicare Enrollment ID | O20230517002377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134837735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Canicia Anyiatem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932465382 PECOS PAC ID: 6103237300 Enrollment ID: I20230517002439 |
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